CONTENT WARNING: Dental Work
A few years ago, I suffered a problem with one of my upper wisdom teeth that led to it, to put it lightly, beginning to rot out of my mouth. After dealing with pain for some time, I managed to find a dental clinic that took my insurance and went in to get the problem tooth extracted.
The visit turned out to be memorable. A prior visit to another clinic had a dentist inform me that I didn’t have wisdom teeth. I knew this was incorrect because the teeth had come in during my mid-teenage years. Sure enough, this clinic confirmed that the affected tooth was, in fact, a wisdom tooth. After an X-ray, they also confirmed that my other upper wisdom tooth had a much less severe case of the same problem and would eventually come out. That could wait, they told me, but the tooth I was there for could not.
I had learned early in my teenage years that injected locals didn’t seem to affect my jaw, and I warned the dentist about this. With that in mind, they made several initial injections and asked me if it was numb. I couldn’t feel any numbness, but I also didn’t feel any pain; I assumed this meant that it worked but wasn’t as effective as it should be, so I told them to proceed.
As soon as they began prying, I felt a sharp, almost metallic-tasting pain in the tooth. Determined to just let them get the problem bugger out, I tried to power through it. The dentist and her assistant, however, must have seen my grimace, so they stopped.
Dentist: “Does it hurt?”
Me: “It does, but I don’t think you can do anything about that. Let’s keep trying.”
Dentist: “No, sorry, I have to try. I’m going to try a different local. Maybe you developed a tolerance for this one.”
Me: “Okay, sure.”
The dentist performed another injection with a different local and the wait began again. Once more, I didn’t feel any numbness, but the pain introduced by the previous attempt had subsided again, so I again — incorrectly — assumed that it must have done something.
Dentist: “Are you numb?”
Me: “Not really, but the pain’s gone, so I think it did something, at least.”
She started to pry again, only for the familiar pain to return. Realizing this was going nowhere, I motioned for her to stop.
Dentist: “Still?”
Me: “Yeah, still hurts. I guess… try again?”
Dentist: “One more shot couldn’t hurt. If that doesn’t work, we do have other options.”
Another injection, more waiting, and this time I felt a very, very slight numbness. Again they pried at the tooth, only for the pain to return. I motioned.
Dentist: “I have an idea. My guess is that, for whatever reason, the local isn’t numbing the tooth itself. Because of the damage to the tooth, I’m probably pressing right on the nerve when I do this, so I don’t think injections are the answer. I have a topical gel I can apply; while it won’t numb the mouth, it will prevent the tooth from hurting. If you’re willing to try it, I’ll go ahead.”
Me: “No problem! Do what you think you need to.”
The dentist applied the gel and waited what I assume was the required amount of time. Attempts to pry the tooth out of the mouth resumed, and thankfully, there was no pain this time. However, a new problem became apparent: despite how terrible the condition of said tooth was, it wasn’t budging. The method they were using simply wasn’t going to work.
Dentist: “Okay. I have a tool I will use that will basically crush the tooth — not all the way, just enough to free that stubborn root from the jaw. It won’t hurt, but you will feel a loud crack. Don’t worry about that.”
Me: “No problem.”
Sure enough, she applied a sort of vice-like tool to compress and twist the tooth. There was a crack, and she began pulling. And yet the tooth insisted on staying put. Without saying a word, the dentist motioned to her assistant to take hold of me, and, using her foot to gain a bit of extra torque, she yanked hard for several seconds. The tooth came free and became airborne, flying over the cupboard-like object behind me and continuing for about six more feet before loudly clattering against the floor.
The dentist smiled.
Dentist: “Well, it’s out!”